Social care support reform: summary of discussion paper responses

Analysis of responses to the joint discussion paper from Scottish Government and COSLA on building a national programme to support adult social care reform.

Annex A – Topics, issues and opportunities included in the discussion paper on adult social care reform for Scotland, September 2018

The discussion paper was developed after a period of research and engagement into:

a) the understanding, perceptions, and experiences of the current adult social care system in Scotland – both for those seeking or using support, and those involved in its leadership, management and delivery; and

b) what adult social care should look like in the future, and what needs to change to enable this.

A wide range of stakeholders were involved in this engagement, including:

  • people who use social care support
  • support/representative organisations, including carers organisations
  • social work staff
  • professional bodies
  • care providers
  • Care Inspectorate
  • Local Authorities and Health and Social Care Partnerships
  • policy teams across related areas of Scottish Government

The key topics, issues and opportunities included in the paper were (in alphabetical order):

  • Assessment and support planning
  • Attitudes to, and management of, risk
  • Care homes now and in the future
  • Adult social care charging and charging practices
  • Commissioning and procurement practices and the impact on care provision and experiences of self-directed support
  • Community participation
  • Data on social care and how it is used
  • Decision-making and authority in the system – for example, mapping the distribution of autonomy and authority within social care, and look at the different models for this existing across Scotland
  • Digital and technology
  • Inspection and regulation
  • Interface between adult social care and primary and acute care
  • Intermediate care
  • Local and national leadership
  • Monitoring the impact of the extension of free personal care to all adults
  • Multi-disciplinary working/seamless services for those who use them
  • New models of care and understanding what is needed to enable these
  • Portability of care
  • Prevention (both understanding the current capacity for preventative and low-level interventions and the impact on people's outcomes, and maximising preventative approaches)
  • Researching, promoting and adopting best practice models
  • Social isolation and loneliness
  • Supporting independent living
  • The cost of care, and how care is paid for
  • The provider landscape
  • The role, capacity, and visibility of community and community supports in social care
  • Transparent and impactful investment
  • Understanding the impact of current processes on people's experience and outcomes, and the distribution of resources within the adult social care system
  • Unpaid caring
  • Workforce recruitment and retention



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